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Exemption Application 3500 - California

California FORM Exemption Application 3500 Organization Information California corporation number/ California Secretary of State file number FEIN Name of organization as shown in the organization s creating document Web address Street address (suite, room, or PMB no.) City State ZIP code Telephone Second telephone Fax Representative Information Name of representative Email address Street address (suite, room, or PMB no.) City State ZIP code Telephone Second telephone Fax General Questions Part I Organizational Structure If the listed documents are not provided, the organization s request for Exemption will be delayed, or denied.

Street address (suite, room, or PMB no.) City State ZIP code Telephone Second telephone Fax Name of representative Email address Street address (suite, room, or PMB no.) City State ZIP code Telephone Second telephone Fax Mail form FTB 3500 to: EXEMPT ORGANIZATIONS UNIT MS F120, FRANCHISE TAX BOARD, PO BOX 1286, RANCHO CORDOVA, CA 95741 …

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